Diagnosis of cholelithiasis
Mitsusada, M.; Wakayama, T.; Okuyama, T.
Nihon Rinsho. Japanese Journal of Clinical Medicine 51(7): 1751-1755
1993
ISSN/ISBN: 0047-1852 PMID: 8366590 Document Number: 414374
Evaluation of the patient with suspected cholelithiasis has been changed dramatically recently, to make accurate prediction of composition of the gallstone. That is mainly because of improvement and development of all kinds of diagnostic imaging modalities and development of several nonsurgical options. If we do the initial evaluation of the patient, it is natural to choose the ultrasonography first, because of its easiness and noninvasiveness. But it is important to choose the most appropriate modality following ultrasonography, in order to complete the integrated imaging diagnosis. Here we describe the gross feature of the each modality, and how we choose it in order to make accurate diagnosis and to arrive at a treatment plan best suited for each patient.